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m DEPARTMENT OF BUILDING INSPECTIONS
212 Main Street ' Municipal Building '
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Northampton, Mass. 01060
REQUEST FOR PERMISSION TO VIEW RECORDS
OR HAVE COPIES OF DOCUMENTS MADE
***PLE SE K EP THESE DOCUMENTS IN CHRONOLOGICAL ORDER***
DATE: PAG : PLOT:
FILE ADDRESS: - 74,
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NAME: ` ADDRESS: � '� 77z&r-
PHONE # -
UNDER MASSACHUSETTS GENERAL LAWS WE HAVE THE RIGHT TO MEET
THE ABOVE REQUEST WITHIN TEN (10) DAYS OF THE ABOVE LISTED
DATE.
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